EIN: 471442997
UEI: PLLQDMP3KLM5
Data as of August 21, 2026
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on August 21, 2025. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by February 21, 2026, which was (181 days ago).
What is a management decision? →Reporting Information on Federal Program: United States Department of the Treasury • ALN Number: 21.027 • ALN Name: Coronavirus State and Local Fiscal Recovery Funds • Contract Periods: June 16, 2023 – December 31, 2025 (City of New Orleans, Louisiana); April 1, 2022 - December 31, 2026 (City of Toledo, Ohio); August 1, 2024 - September 30, 2026 (County of Orange, Florida) Criteria – For ALN 21.027, there are reporting requirements that are specific to the grant agreement that the Organization, as a sub-recipient, is required to comply with. The City of New Orleans, Louisiana requires performance metrics reports to be submitted monthly within one week of the close of each month. The City of Toledo, Ohio requires project and expenditure reports to be submitted quarterly 30 calendar days after the end of each calendar quarter. The County of Orange, Florida requires progress reports to be submitted quarterly by the 10th of the month following the end of each quarter. Condition – During our testing of reporting, we noted that the reports were not filed on time. Questioned Costs – None noted. Context – This is a condition identified per review of the Organization’s compliance with reporting requirements. Cause – Timing of the filing requirements was not met. Effect or Potential Effect – We were able to observe and conclude that the Organization did not comply with certain monthly and quarterly reporting requirements. Repeat Finding - This is a repeat finding from prior year. This was reported as finding 2023-002 in the 2023 report. Recommendation – Management should submit reports timely. Views of Responsible Official: The Organization agrees with the finding. The Organization continues to take steps to improve this process. See the Organization’s further response to this finding as described in the accompanying management’s corrective action plan, Appendix A.
Finding Number: 2024-001 Compliance Requirement: Reporting Programs: United States Department of the Treasury • ALN Number: 21.027 • ALN Name: Coronavirus State and Local Fiscal Recovery Funds • Contract Periods: June 16, 2023 – December 31, 2025 (City of New Orleans, Louisiana); April 1, 2022 - December 31, 2026 (City of Toledo, Ohio); August 1, 2024 - September 30, 2026 (County of Orange, Florida) Management’s Corrective Action Plan: The Organization recognizes the importance of timely reporting to its government partners, and has developed a plan to improve the timeliness of progress reporting, which includes: • Establishing a Government Initiatives department to oversee all government projects, as well as enhance operational efficiency and planning to meet the increased reporting demands from the growing number of grants. • Further expanding internal capacity by hiring additional team members - Vice President of Government Affairs (January 2025), Grant Accountant (June 2025), and Grant Initiatives Program Manager (September 2025), as well as other departments that are integral for programmatic delivery - most importantly, debt acquisition and analysis (Associate Vice President of Analytics) to accelerate and optimize the preparation of data for reporting. • Standardizing the various reporting pertaining to government funders. • Preparing, monitoring, and updating the reporting schedule for government funders. • Utilizing new software to facilitate and track fiscal and progress reporting. • Extending standardized timeframe for progress reporting from 45 days to 60 days on government contracts where available. Person(s) Responsible: Chief Operating Officer (performance reporting) and Vice President, Finance & Administration (fiscal reporting) Expected Completion Date: September 30, 2025
2023-002
Management decision deadline — for entities that funded this organization
The FAC accepted this audit on September 26, 2024. Under 2 CFR 200.521(d), a pass-through entity that provided federal funds to this organization for this audit period must issue a management decision on these findings by March 26, 2025, which was (513 days ago).
What is a management decision? →Finding Number: 2023-001 Activities Allowed or Unallowed; Allowable Costs/Cost Principles Information on Federal Program: United States Department of the Treasury • ALN Number: 21.019 • ALN Name: Coronavirus Relief Fund • Contract Periods: August 9, 2022 – December 31, 2024 (County of Cook, Illinois); June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Criteria - The Uniform Guidance Section §200.403(g) states that for costs to be allowable under federal awards, they must be adequately documented, and there must be sufficient documentation. Condition - During our testing of personnel costs, we noted that the retroactive payment for two samples that was expensed within one month was not properly allocated across previous months based on hours worked for the program in those months. Questioned Costs - Not determinable. Context - This is a condition identified per our compliance testing of personnel costs. Cause - Policies and procedures were not appropriately adhered to in certain instances to ensure that the retroactive pay was properly allocated across previous months. Effect or Potential Effect - We were unable to confirm the allowability, validity, and completeness of the expenses. Recommendation - We recommend that the Organization ensures its policies and procedures are followed on a consistent basis. Views of Responsible Official: The Organization agrees with the finding. The Organization continues to take steps to improve this process. See the Organization’s further response to this finding as described in the accompanying management’s planned corrective actions, Appendix A.
Finding Number: 2023-001 Compliance Requirement: Activities Allowed or Unallowed; Allowable Costs/Cost Principles Programs: United States Department of the Treasury ALN Number: 21.019 ALN Name: Coronavirus Relief Fund Contract Periods: August 9, 2022 – December 31, 2024 (County of Cook, Illinois); June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Planned Corrective Action: In order to ensure that retroactive personnel costs are allocated to grants appropriately, the following measures are being implemented: 1. Effective October 1, 2024, Medical Debt Resolution, Inc. (the Organization) is transitioning to a common-date annual review including a common annual salary adjustment date for all personnel. This will ensure a timely administration of personnel compensation adjustments, thus eliminating the need for retroactive pay. 2. In the unlikely event of a retrospective pay need in the future, the Organization will develop and implement a new standard operating procedure for Allocation of Retrospective Pay which will provide guidelines for how to appropriately allocate the cost across funds if multiple periods are involved. 3. The Organization is thoroughly reviewing all retrospective payments made in 2023 and 2024 YTD and will be issuing an adjustment to all grants, as applicable, by October 31, 2024. Person Responsible: Vice President, Finance & Administration Expected Completion Date: October 31, 2024
Reporting Information on Federal Program: United States Department of the Treasury • ALN Number: 21.019 • ALN Name: Coronavirus Relief Fund • Contract Period: June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Criteria - For ALN 21.019, there are reporting requirements that are specific to the grant agreement that the Organization, as a sub-recipient, is required to comply with. The City of New Orleans, Louisiana, requires financial reports to be submitted monthly no later than 25 days following the end of the period covered by the invoice. Condition - During our testing of reporting, we noted that the monthly reports were not filed on time. Questioned Costs - None noted. Context - This is a condition identified per review of the Organization’s compliance with reporting requirements. Cause - Timing of the filing requirements was not met. Effect or Potential Effect - We were able to observe and conclude that the Organization did not comply with certain monthly reporting requirements. Recommendation - Management should submit reports timely. Views of Responsible Official: The Organization agrees with the finding. The Organization continues to take steps to improve this process. See the Organization’s further response to this finding as described in the accompanying management’s planned corrective actions, Appendix A.
Finding Number: 2023-002 Compliance Requirement: Reporting Programs: United States Department of the Treasury ALN Number: 21.019 ALN Name: Coronavirus Relief Fund Contract Periods: June 16, 2023 – June 16, 2024 (City of New Orleans, Louisiana) Planned Corrective Action: The Organization is committed to improving its timeliness of reporting, and is developing a plan to align and adhere to all grantor’s reporting requirements. The Organization is also hiring several new staff to ensure adequate internal capacity to deliver in a timely manner. Person Responsible: Chief Operating Officer (performance reporting) and Vice President, Finance & Administration (fiscal reporting) Expected Completion Date: October 31, 2024
Data source: This information comes from the Federal Audit Clearinghouse, the official repository of Single Audit data. All data is public domain. Verify this organization's audit history at fac.gov.
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